Individual
BRANDON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1480 DELOWE DR SW, ATLANTA, GA 30311-3318
(404) 613-7110
Mailing address
2036 POWERS FERRY TRCE SE, MARIETTA, GA 30067-6688
(404) 513-3800
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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